Web of Science: 12 cites, Scopus: 14 cites, Google Scholar: cites,
Effectiveness and cost-effectiveness of a health coaching intervention to improve the lifestyle of patients with knee osteoarthritis : cluster randomized clinical trial
Carmona-Terés, Victoria (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Lumillo-Gutiérrez, Iris (CAP Can Bou (Castelldefels, Catalunya))
Jodar Fernández, Lina (CAP Sant Ildefons (Cornellà de Llobregat, Catalunya))
Rodriguez Blanco, Teresa (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Moix Queraltó, Jenny (Universitat Autònoma de Barcelona. Departament de Psicologia Bàsica, Evolutiva i de l'Educació)
Pujol Ribera, Enriqueta (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Mas, Xavier (Servei Català de la Salut)
Batlle-Gualda, Enrique (Hospital Universitario de San Juan de Alicante)
Gobbo Montoya, Milena
Berenguera Ossó, Anna (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)

Data: 2015
Resum: Background: The prevalence of osteoarthritis and knee osteoarthritis in the Spanish population is estimated at 17% and 10. 2%, respectively. The clinical guidelines concur that the first line treatment for knee osteoarthritis should be non-pharmacological and include weight loss, physical activity and self-management of pain. Health Coaching has been defined as an intervention that facilitates the achievement of health improvement goals, the reduction of unhealthy lifestyles, the improvement of self-management for chronic conditions and quality of life enhancement. The aim of this study is to analyze the effectiveness, cost-effectiveness and cost-utility of a health coaching intervention on quality of life, pain, overweight and physical activity in patients from 18 primary care centres of Barcelona with knee osteoarthritis. Methods/Design: Methodology from the Medical Research Council on developing complex interventions. Phase 1: Intervention modelling and operationalization through a qualitative, socioconstructivist study using theoretical sampling with 10 in-depth interviews to patients with knee osteoarthritis and 4 discussion groups of 8-12 primary care professionals, evaluated using a sociological discourse analysis. Phase 2: Effectiveness, cost-effectiveness and cost-utility study with a community-based randomized clinical trial. Participants: 360 patients with knee osteoarthritis (180 in each group). Randomization unit: Primary Care Centre. Intervention Group: will receive standard care plus 20-hour health coaching and follow-up sessions. Control Group: will receive standard care. Main Outcome Variable: quality of life as measured by the WOMAC index. Data Analyses: will include standardized response mean and multilevel analysis of repeated measures. Economic analysis: based on cost-effectiveness and cost-utility measures. Phase 3: Evaluation of the intervention programme with a qualitative study. Methodology as in Phase 1. Discussion: If the analyses show the cost-effectiveness and cost-utility of the intervention the results can be incorporated into the clinical guidelines for the management of knee osteoarthritis in primary care.
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: article ; recerca ; Versió publicada
Matèria: Knee osteoarthritis ; Cluster randomized clinical trial ; Qualitative research ; Primary health care
Publicat a: BMC musculoskeletal disorders, Vol. 16, Num. 38 (February 2015) , p. 1-12, ISSN 1471-2474

DOI: 10.1186/s12891-015-0501-x
PMID: 25887078


12 p, 1.1 MB

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Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > GIES (Grup de Recerca en Estrès i Salut)
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